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Sir: We read the letter by Drs. Aukst-Margetić and Margetić in response to our case report published in the June 2005 issue.1 In their letter, the authors describe a patient suspected of having tardive dystonia of the esophagus. Their patient had initially presented with nonspecific complaints of weakness, poor sleep, and stomach "butterflies" and had been treated with dopamineblocking drugs and antidepressants, following which he started complaining of a lump in his throat and inability to swallow.’ ‹